A diagnosis of acute promyelocytic leukemia (APL) or chronic myeloid leukemia (CML) in blast crisis. Subject has BCR-ABL-positive leukemia (Chronic myeloid leukemia [CML] in blast crisis). Patients with myeloid diseases (AML, myeloid blast crisis of CML) will be eligible for arm A with cytarabine; patients with lymphoid diseases (ALL, lymphoid blast crisis of CML) will be eligible for arm B with liposomal vincristine; patients with leukemia of ambiguous lineage or bi-phenotypic leukemia (e.g. B/myeloid) may be treated on either arm A or B, at discretion of treating physician Myeloid blast crisis of chronic myeloid leukemia (CML), unless patient is not considered candidate for tyrosine kinase inhibitor treatment CML in blast crisis Myeloid blast crisis of chronic myeloid leukemia (CML), unless patient is not considered candidate for tyrosine kinase inhibitor treatment Myeloid blast crisis of chronic myeloid leukemia (CML), unless patient is not considered candidate for CML-directed tyrosine kinase inhibitor treatment (excluding sorafenib) CML in blast crisis Chronic myeloid leukemia (CML) in refractory blast crisis Patients who are in blast transformation of chronic myeloid leukemia (CML); prior MDS or CMML is acceptable Chronic myelogenous leukemia (CML) in second chronic phase after accelerated or blast crisis; blast crisis defined as:\r\n* Blast count >= % in the peripheral blood or bone marrow\r\n* Large foci of blasts on bone marrow\r\n* Presence of extra-medullary blastic infiltrate (myeloid sarcoma or chloroma) Chronic myeloid leukemia (CML) which:\r\n* Failed to achieve a cytogenetic remission to tyrosine kinase inhibitor treatment or has a cytogenetic relapse\r\n* Has ever been in accelerated phase or blast crisis CML in blast crisis Myeloid blast crisis of chronic myeloid leukemia (CML), unless patient is not considered candidate for tyrosine kinase inhibitor treatment BCR-ABL chronic myeloid leukemia in blast crisis (CML-BC) Patients who are in the blast phase of chronic myeloid leukemia Myeloid blast crisis of chronic myeloid leukemia (CML), unless patient is not considered candidate for tyrosine kinase inhibitor treatment Previous diagnosis of accelerated phase or blast crisis Blast phase CML Prior imatinib failure or had accelerated phase or blast crisis CML Patients with APL (FAB type M) or CML in blast crisis. Refractory/relapsing myeloid blast crisis of chronic myeloid leukemia (CML), unless patient is not considered candidate for tyrosine kinase inhibitor treatment Relapsed AML, ALL, CML in blast crisis, or MDS Previous diagnosis of CML accelerated phase or blast crisis The patient has lymphoid Ph+ blast crisis or blast phase CML.